O'Donnell Physical Therapy Corp.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT27002 Issued in CA

Legal business name

O'DONNELL PHYSICAL THERAPY CORP.

Practice address

108 Van Winkle CT
Folsom, CA 95630-1962

Phone

(916) 847-3548

Fax

(916) 988-1106

NPI assigned

Nov 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven O'Donnell, PTNPI 1164511010

Title

President and Secretary

Phone

(916) 847-3548

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven O'Donnell, PT

  • Physical Therapist
  • Orangevale, CA
  • NPI 1164511010
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1124305966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 VAN WINKLE CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301962",
            "telephone_number": "916-847-3548",
            "fax_number": "916-988-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VAN WINKLE CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301962",
            "telephone_number": "916-847-3548",
            "fax_number": "916-988-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'DONNELL PHYSICAL THERAPY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "916-847-3548",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT27002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0PT270023",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164511010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Nicole Nunes, LMFT
• Kenneth Nyaboye
• Joshua Nyberg
• Waine Thet Juju Nyein
• O'Donnell Dental Corporation
• Connor Owen O'Keefe
• Patrick O'Malley, M.D.
• Peter Lawrence O'Malley, MD
• Emily Susanne O'Neal, PA-C
• Oak Creek Hospice LLC

• Physical Therapy Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.